Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $24.29 / $200.40	Facility		$15.86	$24.29	$200.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.93 / $11.52 / $17.68	Facility	52	$7.93	$11.52	$17.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $19.62 / $65.00	Professional		$13.48	$19.62	$65.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $16.07 / $18.98	Professional		$12.66	$16.07	$18.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $113.31 / $329.32	Facility		$39.60	$113.31	$329.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $24.77 / $29.58	Professional		$15.60	$24.77	$29.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.41 / $36.00	Professional		$14.74	$20.41	$36.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $21.09 / $144.16	Professional		$14.54	$21.09	$144.16
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $17.42 / $18.28	Professional		$17.19	$17.42	$18.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $32.34 / $32.34	Professional		$17.29	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.98 / $32.93	Professional		$13.37	$18.98	$32.93